Active NPI
Julian Rivera
- Massage Therapist
- Albuquerque, NM
National Provider Identifier
1407276009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 7835
- Practice address
- 2709 Wyoming Blvd NE
Albuquerque, NM 87111-4540 - Phone
- (505) 294-5486
- Fax
- (505) 294-3655
- NPI assigned
- Apr 22, 2014
- Last updated
- Apr 22, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 7835 | NM | Primary |
Addresses
Primary practice location
2709 Wyoming Blvd NE
Albuquerque, NM 87111-4540
Mailing address
2709 Wyoming Blvd NE
Albuquerque, NM 87111-4540
Phone (505) 294-5486
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7835 | NM | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health Care Associates PA | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Acupuncturist
- Albuquerque, NM
- NPI 1508076530
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398124800000",
"number": "1407276009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2709 WYOMING BLVD NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871114540",
"telephone_number": "505-294-5486",
"fax_number": "505-294-3655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2709 WYOMING BLVD NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871114540",
"telephone_number": "505-294-5486",
"fax_number": "505-294-3655"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA",
"first_name": "JULIAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-04-22",
"last_updated": "2014-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NM",
"license": "7835",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.